Child Therapy Lab LLC
NPI 1952075574ActiveOrganization· Social Worker, Clinical· South Bend, IN
Social Worker, Clinical in South Bend, Indiana, registered in NPPES in August 2021. The authorized official on file is Roniqua Teshae Zimmermann, LCSW, Owner/Director.
Overview
| NPI | 1952075574 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2021 |
| Last updated in NPPES | Aug 6, 2021 |
| Certified by provider | Aug 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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